{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T22:55:14Z","timestamp":1793228114118,"version":"4.5.0"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T00:00:00Z","timestamp":1703289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Institution for Statutory Accident Insurance and Prevention in Health and Welfare Services, Germany"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objective<\/jats:title>\n                  <jats:p>Occupations involving repetitive movements of the wrists, activities that require a lot of force, and hand-arm swinging are particularly likely to contribute to the development of hand and wrist complaints. The daily setup and dismantling of dialysis machines as part of the dialysis treatment process can strain the wrists and fingers of nurses. However, evidence regarding the relationship between the work activities of dialysis nurses and the incidence of hand and wrist complaints is limited. This study aimed to investigate the prevalence and severity of hand and wrist complaints among dialysis nurses in Germany and to relate these to their work activities.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An online survey was created and sent to 836 dialysis centres in Germany. The Nordic Musculoskeletal Questionnaire was used in an online survey to assess the prevalence of musculoskeletal complaints in the hands and wrists. The Boston Carpal Tunnel Questionnaire (BCTQ) was used to assess symptom severity. Dialysis nurses rated the effort required to set up dialysis machines using the BORG-CR10 scale. The analysis was descriptive.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 122 dialysis nurses (18 male, 104 female; mean age 45 \u00b1 12 years) participated in the survey, and 59% of them reported developing hands or wrist complaints in the last 12 months. According to BCTQ, the average severity of these complaints is 2.0 \u00b1 0.8 (N = 72). The severity of symptoms increased significantly with the number of setups performed by a dialysis nurse per day (rs\u2005=\u20050.35, P\u2005=\u20050.003, N = 72). The nurses rated the effort required to set up the dialysis machines as 2.8 \u00b1 1.8 on the BORG-CR10 scale (N = 101).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The results of the online survey showed that dialysis nurses were more likely than the general population to experience hand and wrist complaints. The repetitive activities of the hands and wrists while setting up a dialysis machine are thought to be the cause.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Preventive measures are needed to reduce hand and wrist strain in dialysis nurses.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/annweh\/wxad075","type":"journal-article","created":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T03:33:13Z","timestamp":1703388793000},"page":"136-145","source":"Crossref","is-referenced-by-count":8,"title":["Hand and wrist complaints in dialysis nurses in Germany: a survey of prevalence, severity, and occupational associations"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2424-2998","authenticated-orcid":false,"given":"Elisabeth","family":"Ibenthal","sequence":"first","affiliation":[{"name":"Centre for Ergonomics and Medical Technology, M\u00fcnster University of Applied Sciences , Steinfurt , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Hinricher","sequence":"additional","affiliation":[{"name":"Centre for Ergonomics and Medical Technology, M\u00fcnster University of Applied Sciences , Steinfurt , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Nienhaus","sequence":"additional","affiliation":[{"name":"Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE) , Germany"},{"name":"Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) , Hamburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claus","family":"Backhaus","sequence":"additional","affiliation":[{"name":"Centre for Ergonomics and Medical Technology, M\u00fcnster University of Applied Sciences , Steinfurt , Germany"},{"name":"Ergonomics department, TU Berlin , Berlin , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,12,23]]},"reference":[{"key":"2024022010150537000_CIT0001","first-page":"395","article-title":"Musculoskeletal disorders among female dental personnel - clinical examination and a 5-year follow-up study of symptoms","volume-title":"Int Arch Occup Environ Health","author":"\u00c5kesson","year":"1999"},{"key":"2024022010150537000_CIT0002","first-page":"248","article-title":"Prevalence of musculoskeletal symptoms and carpal tunnel syndrome among dental hygienists","volume-title":"Am J Ind Med","author":"Anton","year":"2002"},{"key":"2024022010150537000_CIT0003","first-page":"1355","article-title":"Risk factors for carpal tunnel syndrome and median neuropathy in a working population","volume-title":"J Occup Environ Med","author":"Armstrong","year":"2008"},{"key":"2024022010150537000_CIT0004","doi-asserted-by":"crossref","first-page":"A55","DOI":"10.1186\/1753-6561-9-S1-A55","article-title":"Prevalence of Carpal Tunnel Syndrome (CTS) among medical laboratory staff at King Saud University Hospitals, KSA","volume":"9","author":"Bardeesi","year":"2015","journal-title":"BMC Proceedings"},{"key":"2024022010150537000_CIT0005","first-page":"88","article-title":"Hand and shoulder ailments among laboratory technicians using modern plunger-operated pipettes","volume-title":"Appl Ergon","author":"Bj\u00f6rksten","year":"1994"},{"key":"2024022010150537000_CIT0006","volume-title":"3. 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